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MEDICAL SURVEILLANCE PROGRAMME, Health risk assessment - Coggle Diagram
MEDICAL SURVEILLANCE PROGRAMME
Focus
To Early Detection of Occupational Diseases
Target workers exposed to hazardous chemicals
Compliance with USECHH 2000 regulations
Early intervention pre and post employment medical examinations
BIOLOGICAL MONITORING AND BIOLOGICAL EFFECT MONITORING
BM
To assess the level of exposure
Measures the potential for exposure.
Provides data on exposure level.
Monitoring blood lead levels
Worker
Prevent long-term damage
Identify exposure levels
Reduce workplace risks.
BEM
To detect early signs of harm
Provide data on the impact of exposure
Directly linked to health risks or diseases
DNA damage, lung function change
Employer
Reduce the severity of diseases
Ensuring workers are not exposed to hazardous substances.
Toxicology
Absorption, Distribution, Metabolism, excretion (ADME)
Acute ,chronic
Influencing factors: Dose, duration, exposure, sensitivity
HEALTH EFFECTS MONITORING (HEM)
HEM & MS
Target organ
Lungs - Hypersensitivity
Lungs - Fibrosis
Central Nervous System
Reproductive System (Female)
Reproductive System (Male)
Liver
Kidney
Hematology
Cancer
REPORT &
RECORD KEEPING
BY EMPLOYEE
USECHH 1
EMPLOYER
(30 yrs)
USECHH 2
USECHH 3
USECHH 4
USECHH 5 i
USECHH 5 ii
OHD
USECHH 3
USECHH 4
USECHH 2
USECHH 5 i
USECHH 1
USECHH 5 ii
DOSH
(submission)
USECHH 4
USECHH 5 i
USECHH 5 ii
LABORATORY PROCEDURES
Testing biological samples
Detect early signs
Provide accurate data
Help employers comply with regulations
Accreditation
Quality Management System
Quality Assurance
Quality Control
Case Study
https://www.sciencedirect.com/science/article/abs/pii/S0378427411004875?via%3Dihub
GENERAL MEDICAL SURVEILLANCE
WHO PERFORMED?
Occupational Health Doctor
MS CONTENTS
Personal details
Training history
Medical History
History effects from CHTH exposure
Current effect CHTH expsoure
Physical examination
Assessment Fitness to work
Target Organ Function Test
Fitness To Work Cert
TYPES OF MS
Pre-placement
Periodic
(once in 12 months)
RTW
Exit medical examination
(within 6 months prior exit)
Medical Removal Protection
Temporary
Permanent
Cessation of MS Programme
CHTH Subtitute/eliminate
CHTH used but contrl measure adequate
No work related findings for at least 2 years
No repeated cases
SEARCH INFO'S CHTH NOT IN GUIDELINES
PEL
ROE
Health Effects
Toxicokinetics
STOT
BEI Determinants
Evaluate the effectiveness of current measures and guide interventions
CHRA
Health Risk Assessment
Define, evaluate, describe
Determine the need for the program
EM Program
Exposure monitoring
Types of monitoring
Evaluate the effectiveness of current measures and guide interventions
Health risk assessment
